THE PATHOLOGY, SYMPTOMATOLOGY AND DIAGNOSIS OF CERTAIN COMMON DISORDERS OF THE VESTIBULAR SYSTEM
THE PATHOLOGY, SYMPTOMATOLOGY AND DIAGNOSIS OF CERTAIN COMMON DISORDERS OF THE VESTIBULAR SYSTEM
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DOI：
10.1177/000348945206100403
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发表时间：
1952-01-01
影响因子：
1.4
通讯作者：
HALLPIKE, CS
中科院分区：
文献类型：
--
作者：
DIX, MR;HALLPIKE, CS
人们普遍认为，在过去的十五年里，我们对人类眩晕问题的理解已经取得了一定的扩展。然而，困难和混乱仍然存在，在本函中，将通过严格审查和简要介绍我们最近的一些调查，努力推进澄清过程。这门学科的基础可以在普罗维登·梅尼埃的著作中找到，我们把这些著作作为我们的出发点。梅尼埃关于眩晕的论文主要以作者描述和分析疾病的症状和体征的能力而著称。现在很容易认识到，正是这种对精神病学的掌握，使他能够以从未受到严重质疑的准确性识别出迷宫中的疾病，这种疾病后来以他的名字命名。然而，除了自信地断言这种疾病是由于内耳的病变造成的，局限于该器官并且对生命有害之外，他没有对它的病理解剖进行直接观察，直到1938年才获得关于这一点的进一步信息。从那时起，疾病的病理解剖学基础已经建立了组织学检查的颞骨在一些临床特征的情况下。公平地说，这种意见也许不是普遍的意见。相反，有时仍然有人说，梅尼埃确实描述了梅尼埃病的病理解剖，并参考了
It is generally agreed that within the last fifteen years some extension has been achieved of our understanding of the problems of human vertigo. Nevertheless, difficulties and confusion still persist and in the course of the present communication an attempt will be made to advance the process of its clarification, both by critical review and by a short account of some of our recent investigations. The foundations of the subject are to be found in the writings of Prosper Meniere, and these we take as our starting point.Meniere's papers on vertigo are chiefly remarkable for the powers which their writer displays of describing and analysing the symptoms and signs of disease. It is easy now to realise that it was this mastery of symptomatology which, more than anything else, enabled him to identify, with an accuracy which has never been seriously questioned, the disease of the labyrinth which has since come to bear his name. Beyond, however, asserting with confidence that the disease was due to a lesion of the internal ear, limited to that organ and indestructive to life, he made no direct observations upon its pathological anatomy, and further information upon this point was not forthcoming until 1938. Since then the morbid anatomical basis of the disease has been established by means of histological examinations of the temporal bones in a number of clinically characteristic cases. It is fair to say that this opinion is not perhaps a universal one. On the contrary it is still sometimes said that Meniere did describe the pathological anatomy of Meniere's disease, and reference is made to the case which